Transdiagnostic effects of therapist self-disclosure on diverse emotional experiences of clients with emotional disorders and schizophrenia

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, CLINICAL
Tal Alfi-Yogev, Yogev Kivity, Dana Atzil-Slonim, Adar Paz, Libby Igra, Adi Lavi-Rotenberg, Ilanit Hasson-Ohayon
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Abstract

Objective

Despite the clinical significance of emotional diversity, also known as emodiversity, there has been limited investigation into the therapeutic interventions that influence this construct. In the current study we examined the association between immediate therapist self-disclosure (TSD) and emodiversity among two diagnostic groups who tend to experience emotional difficulties: people with schizophrenia and people with emotional disorders (i.e., depression and/or anxiety).

Method

The sample comprised 74 clients (37 diagnosed with schizophrenia and 37 with emotional disorders) treated by 45 therapists in a university clinic setting. Following each session, clients self-reported their emotions, and therapists completed a measure of frequency and centrality of their immediate TSD during the session.

Results

Longitudinal multilevel models indicated that immediate TSD was positively associated with clients' global emodiversity, both at the within- and the between-client levels, as well as with clients' negative emodiversity at the between-client level. Moreover, clients with emotional disorders and clients with schizophrenia did not differ in the association between immediate TSD and emodiversity. In addition, across groups, clients treated by therapists who used more immediate TSD on average showed greater increases in global emodiversity during treatment.

Conclusions

immediate TSD is associated with clients' ability to experience rich and diverse emotional experiences across different disorders. The theoretical and clinical implications of these findings are discussed.

Abstract Image

治疗师自我披露对情感障碍和精神分裂症患者不同情感体验的跨诊断影响。
目的:尽管情绪多样性(又称情感多样性)具有重要的临床意义,但对影响这一概念的治疗干预措施的研究却十分有限。在本研究中,我们研究了治疗师即时自我披露(TSD)与情绪多样性之间的关系,这两个诊断群体往往会遇到情绪方面的困难:精神分裂症患者和情绪障碍患者(即抑郁和/或焦虑):样本包括在大学诊所接受 45 名治疗师治疗的 74 名客户(37 名被诊断为精神分裂症,37 名患有情感障碍)。每次治疗后,求助者都会自我报告情绪,治疗师也会在治疗过程中完成对其即时 TSD 频率和中心性的测量:结果:纵向多层次模型显示,在客户内部和客户之间,即时 TSD 与客户的总体情绪多样性呈正相关,在客户之间,即时 TSD 与客户的负面情绪多样性也呈正相关。此外,情感障碍患者和精神分裂症患者在即时 TSD 与情感多样性之间的关系上没有差异。此外,在不同组别中,由平均使用更多即时TSD的治疗师治疗的患者在治疗过程中表现出更大的全球情感多样性增长。结论:即时TSD与患者在不同障碍中体验丰富多样的情感体验的能力有关。本文讨论了这些发现的理论和临床意义。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Clinical Psychology
Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-
CiteScore
5.40
自引率
3.30%
发文量
177
期刊介绍: Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.
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